Are programs that have a policy of arbitrarily limiting the daily amount of medication a patient may receive or a dose cap as it is often called, violating treatment guidelines?
Yes. Treatment programs that have policies that restrict the physician from ordering, or the program from dispensing the medically appropriate dosage that the patient legitimately requires, are operating outside of what has been determined by treatment experts as best practices. Additionally, the SAMHSA/CSAT Guidelines for the Accreditation of Opioid Treatment Programs endorse clinical practices that take into consideration the individual treatment of the patient. Programs that utilize blanket or boiler plate policies and treatment protocols that all patients must participate in regardless of their progress in treatment are not providing the individualized care that the 1995 Institute of Medicine Report found to produce the most positive outcome.
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